Beighton Score Calculator

Your details

Age changes the recommended cut-off. The 2017 EDS/HSD criteria use different thresholds for children/adolescents (under 18), adults 18-50, and adults over 50.
years
Passive extension of the left 5th (little) finger beyond 90 degrees at the metacarpophalangeal joint. 1 point if positive.
Passive extension of the right 5th (little) finger beyond 90 degrees at the metacarpophalangeal joint. 1 point if positive.
Passive apposition of the left thumb to the flexor aspect of the forearm. 1 point if positive.
Passive apposition of the right thumb to the flexor aspect of the forearm. 1 point if positive.
Active hyperextension of the left elbow beyond 10 degrees. 1 point if positive.
Active hyperextension of the right elbow beyond 10 degrees. 1 point if positive.
Active hyperextension of the left knee beyond 10 degrees (genu recurvatum). 1 point if positive.
Active hyperextension of the right knee beyond 10 degrees (genu recurvatum). 1 point if positive.
Standing forward flexion with knees fully extended and palms flat on the floor. 1 point if positive. This midline test scores 1 point total, not 2.
Question 1 of the Hakim-Grahame 5-point questionnaire. Answer based on current or past ability.
Question 2 of the Hakim-Grahame 5-point questionnaire.
Question 3 of the Hakim-Grahame 5-point questionnaire. Captures historical hypermobility.
Question 4 of the Hakim-Grahame 5-point questionnaire.
Question 5 of the Hakim-Grahame 5-point questionnaire.
Beighton ScoreBorderline
4/ 9

Total Beighton score (0-9)

Age-adjusted cut-off5/ 9
Little finger points2/ 2
Thumb points2/ 2
Elbow points0/ 2
Knee points0/ 2
Trunk points0/ 1
5-point questionnaire score0/ 5
Points above cut-off-1
4 / 9
Below adult 18-50 cut-off<4Adult 18-50 cut-off (5/9)4-5At or above adult 18-50 cut-off5+
Little fingers2
Thumbs2
Elbows0
Knees0
Trunk0

Your Beighton score of 4/9 is one point below the threshold (5/9). The 5-point questionnaire can help clarify the picture.

  • The 2017 EDS/HSD criteria recommend a cut-off of 5/9 for adults up to 50, which is what was applied here.
  • Your 5-point questionnaire score is 0/5 (positive is 2 or more). Combined with a borderline Beighton result, this further reduces the likelihood of GJH, though clinical assessment remains the deciding factor.
  • The Beighton scale tests only five specific joint movements. Shoulder, hip, ankle, and spinal mobility are not captured, and a high score alone does not indicate a pathological syndrome.

Next stepIf you experience pain, fatigue, skin changes, autonomic symptoms, or repeated joint dislocations alongside hypermobility, seek assessment from a clinician familiar with connective tissue disorders.

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